Workers’ Compensation Bill Review Services
The IMS program puts you in control
The IMS program produces advanced results through the integration of advanced bill review service technology, innovative workflow operations, and transparent user tools.
The result is a program that delivers deeper savings, superior accuracy, and top-notch customer service.
With decades of experience, all of our efforts and resources remain committed to bill review software and service. By isolating our focus, we are able to place the most talented, highly trained bill review experts in charge of scrutinizing your medical bills. Removing distractions from our core business has allowed us to become the best in our field.
Proprietary Software – delivers quick changes without a middle-man
From industry changes to vendor additions, IMS can quickly adapt on a technical level to meet the needs of our clients. By eliminating the middleman software vendor, IMS has the control to introduce new levels of automation, deliver custom reports, and make technical adjustments for outlier situations.
Operations – our workflow delivers customization, savings, and accuracy
The heart of our service, operations utilizes our software platform to automatically direct bill types (surgery, med-legal, consultations, etc.) to experts in each respective field. This combination of technology and service provides a workflow that performs with strength in knowledge, speed, and accuracy. The implementation of current fee schedules and in-depth bill review results in the highest level of bill review savings possible.
IMS provides comprehensive general liability bill review services. At IMS, we understand the challenges of handling GL claims and will customize a cost containment program to meet our client’s needs and support their unique workflow.
With decades of bill review experience, IMS employees possess a wealth of cost containment knowledge and consistently produce significant savings.
As well as generating great bill review savings, IMS’ PPO partners offer widespread PPO coverage and substantial PPO discounts on general liability bills.
In addition, as a software development company, IMS built a specialized database that stores provider billing information to assist with future reviews and negotiations. Examples include but are not limited to:
- notes on prior negotiations
- contacts and personnel
- previous accepted payments
- billing patterns
- provider affiliations
When there is no applicable fee schedule or a facility is exempt from the fee schedule, IMS will determine if there is a PPO contract or an IMS agreement that applies to the charges. If not, IMS’ facility review experts conduct three usual and customary reviews based on the services performed, the hospitals geographic location, and the hospitals credentials. IMS’ experts then use the median usual and customary allowance as leverage during our negotiation. In addition, as a software development company, IMS built a specialized database that stores data on exempt hospitals that include:
- Usual and customary charges and allowances
- Notes on prior negotiations
- Contacts and personnel
- Previous accepted payments
MPN (Medical Provider Network)
Employer MPN Medical Provider Network
Good News! Control is back in the hands of the employer through Medical Provider Networks (MPN). However, not all MPN’s are alike. Now it is up to you to build an MPN that will reduce your medical costs.
Harboring a network with more providers than you need, places you at risk for excessive treatment, applicant doctors, and fraudulent activity. Just because a provider is part of a PPO, does not mean they should be a member of your Medical Provider Network.
Building a custom network from the ground up is the key to a controlled MPN that will improve the quality of care and save you money.
Forming your Medical Provider Network
IMS builds your network around providers that understand and effectively adhere to workers’ compensation requirements. Meaning, they provide excellent treatment, produce well-written and knowledgeable reports, and work with the employer and injured worker to utilize back to work programs. Multiple or tiered MPN networks can be created for clients with additional needs.
Administration of MPN
Administration is effortless with web tools like smart search, zip code radius, and point to point driving directions. Our website, www.employermpn.com, is easy to use and has everything you need to help direct and control treatment.
Once your MPN is established, IMS’ software automatically checks each bill for all MPN discounts. This process accurately sorts and identifies each bill per its applicable MPN while applying all contracted discounts.